Determination of Drug Resistance and Virulent Gene Signatures in Potable Water Isolates of Escherichia coli in Gwalior city (original) (raw)
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PLoS ONE, 2013
Background: Unsafe water supplies continue to raise public health concerns, especially in urban areas in low resource countries. To understand the extent of public health risk attributed to supply water in Dhaka city, Bangladesh, Escherichia coli isolated from tap water samples collected from different locations of the city were characterized for their antibiotic resistance, pathogenic properties and genetic diversity. Methodology/Principal Findings: A total of 233 E. coli isolates obtained from 175 tap water samples were analysed for susceptibility to 16 different antibiotics and for the presence of genes associated with virulence and antibiotic resistance. Nearly 36% (n = 84) of the isolates were multi-drug($3 classes of antibiotics) resistant (MDR) and 26% (n = 22) of these were positive for extended spectrum b-lactamase (ESBL). Of the 22 ESBL-producers, 20 were positive for bla CTX-M-15 , 7 for bla OXA-1-group (all had bla OXA-47) and 2 for bla CMY-2. Quinolone resistance genes, qnrS and qnrB were detected in 6 and 2 isolates, respectively. Around 7% (n = 16) of the isolates carried virulence gene(s) characteristic of pathogenic E. coli; 11 of these contained lt and/or st and thus belonged to enterotoxigenic E. coli and 5 contained bfp and eae and thus belonged to enteropathogenic E. coli. All MDR isolates carried multiple plasmids (2 to 8) of varying sizes ranging from 1.2 to .120 MDa. Ampicillin and ceftriaxone resistance were co-transferred in conjugative plasmids of 70 to 100 MDa in size, while ampicillin, trimethoprim-sulfamethoxazole and tetracycline resistance were co-transferred in conjugative plasmids of 50 to 90 MDa. Pulsed-field gel electrophoresis analysis revealed diverse genetic fingerprints of pathogenic isolates. Significance: Multi-drug resistant E. coli are wide spread in public water supply in Dhaka city, Bangladesh. Transmission of resistant bacteria and plasmids through supply water pose serious threats to public health in urban areas.
Diarrheogenic Escherechia coli in potable water sources of West Bengal, India
Acta Tropica, 2013
Diarrheal diseases are a major cause of morbidity and mortality in developing countries. Among the bacterial pathogens, diarrheagenic Escherichia coli are most frequently connected in cases with epidemic and endemic diarrhea worldwide. Environmental surveillance for monitoring of E.coli is very rare. In the present study, we have applied a modified technique to quantify coliform and E. coli in different potable water sources and their subsequent characterization (in relation to diarrheal pathogenicity) in the diarrhea endemic foci of West Bengal. More than one-fifth of the targeted sources (21.4%) have been identified harboring E. coli. Serotyping and molecular analysis reveals multidrug resistant EPEC, EIEC and ETEC among 9% of positive sources. Rainy season seems to be the most conducive period for E. coli induced diarrhea. While non-diarrheogenic E.coli were sensitive to most of the drugs, diarrheogenic E. coli, possessing toxicity, showed resistance against tetracycline, kanamycin, furazolidone, amoxicillin, ampicillin, norfloxacin, ciprofloxacin. Presence of multidrug resistant diarrheogenic E.coli justifies the potentiality of potable water sources as its vehicle and as a potent diarrheal inducer in diarrhea prone area along with increasing concern of drug resistance. Presence of diarrheogenic E. coli stresses the urgent need of its environmental surveillance like diarrheogenic Vibrios.
American Journal of Tropical Medicine and Hygiene, 2019
Although access to piped drinking water continues to increase globally, information on the prevalence and clonal composition of coliforms found in piped water systems in low-resource settings remains limited. From June to July 2016, we examined Escherichia coli isolates in domestic water from the distribution system in Alibag, a small town in India. We analyzed the isolates for drug resistance and genotyped them by multilocus sequence typing. Of 147 water samples, 51 contained coliforms, and 19 (37%) of the 51 were biochemically confirmed to contain E. coli. These samples contained 104 E. coli isolates-all resistant to ampicillin. Resistance to ceftazidime was observed in 52 (50%) isolates, cefotaxime in 59 (57%), sulfamethoxazole-trimethoprim in 46 (44%), ciprofloxacin in 30 (29%), and gentamicin in two (2%). Thirty-eight (36%) belonged to sequence types recognized as extraintestinal pathogenic E. coli (ExPEC); 19 (50%) of these 38 ExPEC belonged to known uropathogenic E. coli lineages. This exploratory field research shows the extent to which "improved" drinking water is a potential source of E. coli strains capable of causing extraintestinal infections. The prevalence of bacteria resistant to antimicrobial agents is a serious threat to global public health. Studies have shown that human activity is correlated with increased prevalence of genes conferring resistance to antimicrobial agents in the environment. 1 Specifically, this increase in resistance is correlated with the introduction of antimicrobial agents and bacteria resistant to antimicrobial agents into the environment through activities known to occur in low-resource settings, such as wastewater dumping. 2 When piped drinking water contains agents such as NDM-1, a metallo-beta-lactamase, even the highest rung of the Joint Monitoring Program's "im-proved" water ladder is not safe. 3,4 The risks are potentially high in small towns of the global South, where water treatment and water quality data are both limited. As Escherichia coli is easily eliminated from drinking water, researchers use it as an indicator bacterium to determine whether water has recently been exposed to feces and whether it is safe for consumption. Its presence in more than 5% of drinking water samples indicates that the water treatment (if any) is inadequate to eliminate more harmful bacteria such as Campylobacter or Salmonella. 5 Detection of E. coli can also indicate either treatment inadequacy or posttreat-ment contamination. When considering an intermittent system , the possibility of posttreatment contamination is high. Few researchers have conducted in-depth microbiological studies of drinking water distribution systems; their focus has largely been on general bacterial community analysis or calculating the number of colony-forming units of E. coli. 6-8 The use of E. coli solely as a fecal indicator bacterium prevents researchers from understanding the public health impact of its antimicrobial drug resistance and its potential to be a human pathogen. A subgroup of E. coli causes diarrhea and is responsible for foodborne diseases in both high-income and low-income countries. 9 Another group of E. coli causes extraintestinal infections, referred to as extraintestinal pathogenic E. coli (ExPEC). It is the leading cause of Gram-negative bacter-emia and the most common cause of urinary tract infections (UTI), an infection primarily affecting women; both are potentially lethal if left untreated. 10,11 This exploratory study in a "typical" small town in India sought to determine what proportion of E. coli strains used as an indicator bacterium in field drinking water tests are drug-resistant, and are potential human pathogens. Alibag, Maharashtra, is a coastal tourist city with a population of 20,743. 12 Its piped drinking water system is intermittently supplied with water by the Maharashtra Industrial Development Corporation (MIDC). The MIDC drinking water treatment plant sources drinking water from the Amba River and treats the raw water using liquid alum sul-fate, flash mixing, flocculation/settling, sand filtration, and chlorination with Cl 2 gas to 0.2 ppm. The treated water is then tested four times a day by an MIDC chemist for multiple contaminants. Water samples were collected from the water distribution system over an 8-week period from June to July 2016, which evenly captured the end of summer and the onset of the monsoon season. Samples were collected once a week from the treated water at the MIDC and from one of the three elevated storage reservoirs from which water is piped to households. Many households stored water in rooftop tanks connected to the distribution system to cope with its intermittent deliveries. Point-of-use samples were taken from households with in-home taps; for households collecting water from a public tap connected to the distribution system, points-of-collection samples were taken during their scheduled water allocations. Households were sampled such that the service area of the drinking water system was adequately covered. Water samples for quantification of bacteria were collected and processed with the compartment bag test (CBT) (Aqua-genx, Chapel Hill, NC), which uses a β-D-glucuronide E. coli indicator. 13 As per the CBT protocol, drinking water was collected in presterilized 100-mL pouches with a sodium thio-sulfate tablet to neutralize any residual chlorine-samples
2020
Escherichia coli is an emerging pathogen of the greatest concern as it is the leading cause of various severe infections of stomach, urinary tract, ear, wound etc. in humans. Increasing rates of antimicrobial resistance among E. coli is another furthermost fret worldwide. This problem is more traumatic when water bodies are getting contaminated with faecal pollution and inappropriate use of antibiotics that led to emergence of multi-drug resistant strains of this normal microbiota of human intestine. The current study dealt with the isolation of around thirteen Escherichia coli strains from seventy drinking water samples collected from different prominent locations of Noida region (Delhi). These strains were evaluated for their resistance and susceptibility patterns against eight commonly prescribed clinically-significant antibiotics viz, Amikacin, Ofloxacin, Gatifloxacin, Cefoperazone/Sulbactam, Gentamycin, Piperacillin/Tazobactam, Cotrimoxazole and Doxycycline HCL by disc diffusio...
2008
BACKGROUND: The contamination of processed or unprocessed drinking water by fecal coliform bacteria has been reported worldwide. Despite a high incidence of waterborne diseases, enterohemorrhagic Escherichia coli (EHEC) is an underacknowledged pathogen of concern to public health in India. Although the presence of EHEC is recorded in surface water resources of India, drinking water sources are yet to be investigated. OBJECTIVES: The goal of this study was to analyze potable water samples for the presence of virulence determinants of EHEC and to determine the sensitivity of the virulence determinants to antimicrobials. METHODS: We enumerated coliform bacteria in potable water samples collected from six locations in Lucknow, a major city in northern India, using the most probable number method. E. coli (n = 81), randomly isolated by membrane-filtration technique from four sites, were identified by biochemical characterization. E. coli were not detected in samples from two other sites. We screened 15 randomly selected isolates from each site for virulence determinants of EHEC using polymerase chain reaction (PCR). The isolates positive for virulence determinants (n = 18) were screened for sensitivity to 15 antimicrobials by the disk diffusion method. RESULTS: Both stx1 and stx2 genes were present in 33.3% of isolates, whereas others possessed either stx1 (11.1%) or stx2 (55.6%). eaeA, hlyA, and chuA genes were present in 100, 23.3, and 16.7% of isolates, respectively. Resistance to multiple antimicrobials was observed in potential EHEC. CONCLUSIONS: The occurrence of multiantimicrobial-resistant EHEC in potable water is an important health concern because of the risk of waterborne outbreaks. KEY WORDS: drinking water, enterohemorrhagic Escherichia coli, multiantimicrobial resistant, virulence determinants.
Objective: Contamination of surface water with pathogenic organism is highly dangerous for people who used it for drinking or for domestic activities. Detection of Escherichia coli in water can be used as a general important indicator of fecal contamination. This study investigated the occurrence of fecal E. coli, two important toxigenic types of E. coli isolates and their antimicrobial resistance in water samples collected from the surface running source of Wadi Shueib in Jordan. Methods: A total of 51 water samples were collected from three different locations of wadi shueib over a three month, July through September, 2016. For each sample, 200 ml of water was collected in sterilized containers. All samples which were positive for fecal E. coli were subcultured on Eosin Methylelne Blue Agar and incubated at 37 ºC for 24 hours. E. coli isolates were identified by API-20 E test, and all isolates were tested for antimicrobial susceptibility and for the presence of virulence genes of enterotoxigenic E.coli (ETEC) and enterohemolytic E.coli (EHEC). Results: A total of 46/51 (90%) of water samples were contaminated with fecal E. coli. The 46 E. coli isolates were resistant in the range between 4%-76% to commonly used antibiotics in the treatment of infection in Jordan. Multidrug resistant isolates to at least three antibiotics accounted for 17/46 (37%) of the isolates. Out of 46 fecal E. coli isolates, 4 (8.7%) were ETEC and 2 (4.3%) were EHEC as detected using PCR. Conclusion: This study indicated that the surface running water of
Antibiotic resistance profiles of Escherichia coli isolated from rural and urban environments
Journal of Environmental Science and Health Part A-toxic/hazardous Substances & Environmental Engineering, 1997
Lack of access to potable water has forced many inhabitants of informal settlements in South Africa to rely on surface water sources for their daily water needs, thus exposing these communities to microbial contamination that can result in water-borne diseases. These water sources also serve as natural habitats of pathogenic E. coli strains which harbour virulence factors, which could play a role in the disease process, as well as various multi-drug resistant water-borne pathogens. This study investigated the microbiological quality of two river waters in Durban, South Africa, using total coliform and faecal coliform population as indices. The virulence markers and antibiogram profiles of the E. coli isolates from these rivers were also determined. The results indicated that water from these river sources were of poor microbiological quality and unfit for human consumption. Antibiotic Resistance Profiles of the isolates revealed that 97.1% of the Palmiet River isolates and 71.15% of the Umgeni River isolates were multiresistant to the antibiotics tested, with all the isolates found to be resistant to novobiocin. Characterization of the virulence markers revealed the presence of stx1, cnf1 and eaeA genes, indicating the possible health risk associated with the ingestion of water from these rivers. The inherent health risks associated with the use of these river water emphasises the need for safe water supply and provision of proper sanitation facilities for the inhabitants of the informal settlements along these river banks.
Environmental Health Perspectives, 2007
BACKGROUND: The contamination of processed or unprocessed drinking water by fecal coliform bacteria has been reported worldwide. Despite a high incidence of waterborne diseases, enterohemorrhagic Escherichia coli (EHEC) is an underacknowledged pathogen of concern to public health in India. Although the presence of EHEC is recorded in surface water resources of India, drinking water sources are yet to be investigated. OBJECTIVES: The goal of this study was to analyze potable water samples for the presence of virulence determinants of EHEC and to determine the sensitivity of the virulence determinants to antimicrobials. METHODS: We enumerated coliform bacteria in potable water samples collected from six locations in Lucknow, a major city in northern India, using the most probable number method. E. coli (n = 81), randomly isolated by membrane-filtration technique from four sites, were identified by biochemical characterization. E. coli were not detected in samples from two other sites. We screened 15 randomly selected isolates from each site for virulence determinants of EHEC using polymerase chain reaction (PCR). The isolates positive for virulence determinants (n = 18) were screened for sensitivity to 15 antimicrobials by the disk diffusion method. RESULTS: Both stx1 and stx2 genes were present in 33.3% of isolates, whereas others possessed either stx1 (11.1%) or stx2 (55.6%). eaeA, hlyA, and chuA genes were present in 100, 23.3, and 16.7% of isolates, respectively. Resistance to multiple antimicrobials was observed in potential EHEC. CONCLUSIONS: The occurrence of multiantimicrobial-resistant EHEC in potable water is an important health concern because of the risk of waterborne outbreaks. KEY WORDS: drinking water, enterohemorrhagic Escherichia coli, multiantimicrobial resistant, virulence determinants.
The objectives of this study were to assess the bacteriological quality of tap water samples obtained from different markets of different upazillas of Mymensingh, Sherpur & Gazipur district. For achieving the above mentioned objectives, methods of heterotrophic plate count (HPC) and total coliform count (TCC) were applied. Moreover, isolated E. coli from tap water samples were characterized by using biochemical test, molecular method and antimicrobial susceptibility tests. HPC was highest in market tap water collected from Kaligonj and TCC was highest in market tap water of collected from Mymensingh sadar. The geometric mean of HPC of Mymensingh, Gazipur and Sherpur districts water was 8.4x105 , 2.5 x106 and 6.8 x105 C.F.U/100 ml. Out of 20 isolates of E. coli, 20 isolates were amplified by using 16S rRNA gene based PCR. In respect to antimicrobial susceptibility testing, most of the E. coli isolates were susceptible to norfloxacin, ampicilin, tetracycline, streptomycin and ciprofloxacin. Furthermore, a few E. coli isolates were intermediate resistant to gentamycin and ciprofloxacin. However, a few of the E. coli isolates were resistant to erythromycin and amoxycilin. Moreover, out of 20 E. coli isolates 3 (15%) isolates were detected as multidrug resistant. This study indicated the presence of multidrug resistant E. coli isolates in tap water in Mymensingh, Sherpur and Gazipur districts that warrants particular attention.
Environmental Health …, 2008
BACKGROUND: The contamination of processed or unprocessed drinking water by fecal coliform bacteria has been reported worldwide. Despite a high incidence of waterborne diseases, enterohemorrhagic Escherichia coli (EHEC) is an underacknowledged pathogen of concern to public health in India. Although the presence of EHEC is recorded in surface water resources of India, drinking water sources are yet to be investigated. OBJECTIVES: The goal of this study was to analyze potable water samples for the presence of virulence determinants of EHEC and to determine the sensitivity of the virulence determinants to antimicrobials. METHODS: We enumerated coliform bacteria in potable water samples collected from six locations in Lucknow, a major city in northern India, using the most probable number method. E. coli (n = 81), randomly isolated by membrane-filtration technique from four sites, were identified by biochemical characterization. E. coli were not detected in samples from two other sites. We screened 15 randomly selected isolates from each site for virulence determinants of EHEC using polymerase chain reaction (PCR). The isolates positive for virulence determinants (n = 18) were screened for sensitivity to 15 antimicrobials by the disk diffusion method. RESULTS: Both stx1 and stx2 genes were present in 33.3% of isolates, whereas others possessed either stx1 (11.1%) or stx2 (55.6%). eaeA, hlyA, and chuA genes were present in 100, 23.3, and 16.7% of isolates, respectively. Resistance to multiple antimicrobials was observed in potential EHEC. CONCLUSIONS: The occurrence of multiantimicrobial-resistant EHEC in potable water is an important health concern because of the risk of waterborne outbreaks. KEY WORDS: drinking water, enterohemorrhagic Escherichia coli, multiantimicrobial resistant, virulence determinants.